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Agmt15 Pavement Coatings Co.
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Agmt15 Pavement Coatings Co.
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Last modified
9/11/2015 10:33:00 AM
Creation date
9/11/2015 10:00:49 AM
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Template:
Agreement
Contractor Name
Pavement Coatings Co.
PROJECT NAME
2014-2015 Slurry Seal Project
RMP File Number
304
Date
9/10/2015
MO Ref
15-113
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, ^,� <br /> CALIFO�tN1A ALL-PURP�SE kCKN�W4EDGMENT C1V1L CEJDE§1189 <br /> A notary public or other officer campletin�thts certificate verlfies aniy the iden#ity of#he individual who,signed the <br /> do�umerrt to which ihis certificate is atta�hed,and noi the truthfulness,�ccuracy,or validity ofi ihat docu�ent, <br /> State o#Califomia ) <br /> Coun#y af Orange _�..—�_..____ ) <br /> pn _August 12, 2015 ��f�y�-e��� Hope A. Conley, Notary Public <br /> D�#e l-lere/nsert Name and Title of the O�cer -_�---� <br /> persanalty appeared �_.._.__�_____ Lynn A. Beimer_.__..._____._._._._� __ <br /> Narne{s)of Signer(s) <br /> _.� , <br /> who proved to me on the basis of s�tisfactr�ry evidence to be the person{� whosQ name{� isla�+ <br /> subscribed to the within ins#rument and a�knowledged to me that he��ey executed t17e s�me in <br /> hisfhzrfth�ir authorized capacity{fes),and that by hislher}ttteir signature{�j on the instruman#the person{#}, <br /> nr#he ent'rty upon behalf of which th�person(�}acted, executed the instrumeni. <br /> i certi€y under PENALTY OF PERJURY under the laws <br /> of the State of Caiifomia that the foregoing paragraph <br /> HOPE A.CONLEY is true ar�d corr�t. <br /> Commisaion�1981837 WiTNESS m hand and official seal. <br /> Z -.i_ Notary PuWic-C�IIforM� y <br /> � ` Orange County � �. - ; <br /> My Comm.Ex ires Oec 23,2015 � �i�=��� i ? <br /> � Signature� � ' � ,. __ - <br /> Signafure nf Nc�tary Public � <br /> Place IVotary��af Above <br /> C1PT1C)NAL <br /> Though this secf�on fs aptianal, compJeting this information can deter alteration of the document or <br /> fraudulent reatf�chrrrent of this form to ar�uninfended dncume»f. � <br /> Description nfi Attached Document - - - <br /> Title or Type c�f Document: Document Date: <br /> Number of Pages: Signer{s} Other Than Named Above: ---._.._,___.._.�.,._.��_._.._ � P <br /> Capaci#y(ies}Ciaimed by Signer(s} <br /> Signer's Name;._.__�.._— Signer's Name:._�..�.__ <br /> --...._..............----------.._...._......... <br /> (::i Corporate dfficer — Title(s): I:::i Corporate Officer — Title{s);_....__._.__..___..._._---_..------- <br /> f:_:;Partner — C�i Limited :::::;General <br /> �:._l Partner — i:.-: �imited i.-:i Genera{ <br /> �.��Individual `:::'Attorney in Fact i:_7 Individual I:::::i Attomey in Fact <br /> �-!Trustee "w Guardian ar Conservator ��::11"rustee r:::l Guardian or Conservator <br /> �.....� ;..._ <br /> _ her: lOther: <br /> _.___�._.___._ <br /> Signer!s Repr�senting; Signer ls Representing: _ <br /> . ._ _ _ <br /> �2014 Natic>nal Notary Association•www.NationalN�tary.org•t-8U0-US NOTARY(1-800-876-6827j {tem#5907 <br />
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